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Management of Fetal Growth Restriction: An Evidence-Based Approach


Clinical Obstetrics and Gynecology: June 2006 - Volume 49 - Issue 2 - p 320-334
Fetal Growth Restriction

This review provides an evidence-based approach to the management of fetal growth restriction (FGR). The management consists of the following components: appropriate fetal surveillance, timely intervention, and selective etiological management. Umbilical arterial (UA) Doppler sonography is the primary test. Supplementary tests include nonstress test (NST), amniotic fluid assessment, biophysical profile (BPP), and selective venous Doppler sonography. Ominous signs include UA absent or reverse end-diastolic flow, non-assuring NST, low BPP, and abnormal fetal venous flow patterns. An evidence-based clinical management guideline is included and individualization of care is recommended.

Professor and Chairman, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York

Correspondence: Dev Maulik, MD, PhD, Department of Obstetrics and Gynecology, Winthrop University Hospital, 259 First Street, Mineola, NY 11501. E-mail:

Copyright © 2006 Wolters Kluwer Health, Inc. All rights reserved.